I think anyone who deals with patients with wounds will agree that selecting the right wound dressings and bandages is crucial to wound healing. It may also be the most challenging part of wound management! With so many choices in wound dressings and bandages, it’s easy to become confused.
To simplify matters, there are a few questions you can ask yourself to narrow down your choices when making a decision regarding wound dressings and bandages:
- Is the wound wet or dry? If the wound in question is dry, you might choose a dressing that will donate moisture, such as a hydrogel dressing. If the wound bed is too moist or the wound is highly exudative, you will want to choose a dressing that will absorb excess moisture, such as an alginate dressing.
- Is there slough or necrotic tissue present? If the wound bed is granulating and there is no slough, eschar or necrotic tissue present, all that is needed is to protect the fragile wound bed and maintain a moist, normothermic environment. A transparent film dressing or a simple gauze dressing may suffice. However, if the wound has necrotic tissue present, you may need to choose a dressing that encourages autolytic debridement, such as a semipermeable foam dressing, a hydrocolloid or an alginate dressing, depending on the amount of wound drainage.
- Are there signs or symptoms of infection? If the wound is infected, you might choose a dressing that has been impregnated with silver or iodine to decrease the wound’s bioburden. These dressings vary greatly in their ability to absorb wound exudate, so amount of wound drainage is another factor that you will need to take into consideration.
- Is odor a major concern? When odor is a major concern for the patient, such as in wounds resulting from a fungating cancer or an infected pressure ulcer, you may consider using a charcoal dressing. These dressings work by absorbing the odor-producing gases that are emitted by bacteria.
These are just a few of the considerations that you must take into account when choosing a dressing. Cost, ease of use and level of comfort must also be considered and may influence your choice of wound dressings and bandages.
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